Individual
MRS. JESSICA ANN BAKHUYZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC
Contact information
Practice address
684 102ND AVE, PLAINWELL, MI 49080-1563
(269) 806-1166
Mailing address
2658 W B AVE, PLAINWELL, MI 49080-9699
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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